Enrollment Instructions: Plan Year 2015 2016 - RedPeak-2026

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  1. Click 'Get Form' to open the Enrollment Instructions in our platform.
  2. Begin by reviewing the Personal Information section. Ensure your name, address, phone number, and Social Security number are accurate.
  3. In the Medical Options section, select your desired plan by placing a checkmark next to your choice. If you choose to waive coverage, indicate your reason.
  4. Proceed to the Dental and Vision Options sections. Again, check the plans you wish to enroll in or select 'Waive Coverage' if applicable.
  5. Complete the Beneficiary Information section if life insurance is offered. Provide all required details for each beneficiary.
  6. Review all selections on the Review and Submit Elections page. Confirm that all information is correct before submitting.
  7. After submission, print your benefits confirmation for your records using our platform's print feature.

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